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NPI Code Detail

MEDICARE: DR. JOHN HICKEY MD

MEDICARE:  DR. JOHN  HICKEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD-024917-EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033133129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN HICKEY MD
Provider Business Mailing Address
First Line : 6 TEDDINGTON WAY
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-6200
Country : US
Telephone Number : 856-904-0922
Fax Number :
Provider Business Practice Location Address
First Line : 6 TEDDINGTON WAY
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-6200
Country : US
Telephone Number : 856-904-0922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 06/09/2025

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Directions to “ DR. JOHN HICKEY MD” Practice Location

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